Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �� ��.�/%J <br />425-257-8810 - FAX 425-257-8857 — www.everetivra.org � i <br />G' /1/07�—� ��� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�� I�1 �.!'�C'-�IZ�I(`1'�C- <br />PROJECT ADDRESS <br />L c' C. .5c ' 1 t�.;<� � rr�c�i"C� <br />Owner M11ail Address <br />�vc-r'e( C- L�'1-� �i�'�C�l <br />City Slale2ip Phone <br />Tenanl r.a=�! ndCress City Slale2ip Phone <br />y..�5- )s�I' JI���3 <br />i <br />l�•i �/t:�t�r�n���cr' ( 1���° L��i��', �I.3u i�y,��-rcl Y��,t�'[,�) :��(c�i����c-��cd �i�.��� <br />EleclricalConlraclor MailAddress City Slale/Zip Phone <br />/ �t" I ' i �i ( 1—�ll ��Ci i � ,�C�.[ .�-� � c'_ <br />S!ate License Number Conlract Prico of Work <br />•�� i � f> �CiY7 �L�'/� �jL( iC:j <br />Proposed Use of Buildin� Contacl Person (Plan Review) <br />Descriplion of Work 10 0e Dono: �J(I�7c-'I "71(' /l � {� ( C' �.L'I %�N _ <br />fJOTL": WIRIIJG IN NON-DWELLINGS IS REQUIRED TO <br />D6 IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAI_ SALES TAX CODE IS 3105 <br />I he�eby cmti(y INaf 1 have read and examined this applicafion and <br />coirecf. All provisions of fau�s and ordinances goveming (his f}�pe � <br />�rhefher specJied herein ornoL The granfinq o/a pemut does nof <br />viola(e or ccncd Qte provisions al any other sia(e or local faw regu� <br />perfomianc� o(consfrucfion. Thaf 1 ant authonzed bythe o�i�neroi <br />�rork ler �rhich application is made and 1 comply wilh Uie Sfate Cor <br />296.200 14�A C. <br />i- � <br />� � ! �� '( i ;�;-i,J j 1�)i"1 <br />FEE <br />nv the same fo be lruo and <br />�ork n�ill Ge comp/efed <br />sume to give aufhority fo <br />�g consfruchen or fhe <br />> property fo pedomt fho <br />;tors La�v 18.27 RCW and <br />1I <br />� l� 1 _ � � � <br />, <br />�. <br />